ExRx Ch. 18 - Special Considerations for Weight Management Questions and Answers 100% Pass

What additional factors do we need to asses for exercise participation? - - height, weight, BP, HR & waist circumference - medications - musculoskeletal/orthopedic issues - psychological conditions - sedentary time What are overweight and obesity associated with? - Increased risk of: T2D, hypertension, dyslipidemia, CHD, stroke, some cancers, musculoskeletal problems, & respiratory problems What is maintenance of body weight determined by? - Energy balance equation energy intake = energy expenditure What is the minimal weight loss to reduce CV risk factors? - 2%-3% What maintained weight loss is associated with reduced risk factors? - 3%-5% <150min/week of PA - minimal weight loss >150min/week of PA - ~2-3kg weight loss >225-420 min/week of PA - 5-7.5kg weight lossWhat is the primary consideration for exercise testing - The presence of other comorbidities that are associated with increase CV risk and decreased exercise performance What workloads and progressions should be used? - low initial workloads and conservative progressions Recommended exercise test protocols - - modified balke - 6-minute walk test - modified naughton - YMCA cycle ergometry Goal for aerobic exercise/week - 250-300 minutes - begin w/ low volumes and intensities and then progress Overweight & obesity treatment requires a lifestyle intervention program and team of healthcare providers - TRUE What is the main goal of exercise programs for overweight & obese individuals? - maximize caloric expenditure to ~>2,000kcal/week FITT recommendations for Reistance - 2-3days/week 60%-70% 1-RM and gradually increase 2-4 sets of 8-12 reps each muscle group resistance machines or free weights FITT recommendations for Flexibility - >2-3 days/week static, dynamic, and/or PNG stretches to the point of discomfort or tightness10-30s holds for static stretches 2-3 repetitions each stretch FITT Recommendations for Aerobic - >5days/week initial intensity should be moderate (40%-50% HRR or VO2R) progress to 60%-70% of HRR or VO2R for more health benefits 30min/day; increase to 60min/day or more prolonged, rhythmic activities using large muscle groups